Dr Charles Sylvester Dietrich Iii, MD | |
800 Rose St, Lexington, KY 40536 | |
(859) 323-3975 | |
(859) 323-1602 |
Full Name | Dr Charles Sylvester Dietrich Iii |
---|---|
Gender | Male |
Speciality | Obstetrics/gynecology |
Experience | 28 Years |
Location | 800 Rose St, Lexington, Kentucky |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1619995131 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207VX0201X | Obstetrics & Gynecology - Gynecologic Oncology | 37734 (Kentucky) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
University Of Kentucky Hospital | Lexington, KY | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Commonwealth Health Corporation Inc | 5496667628 | 238 |
Kentucky Medical Services Foundation, Inc | 5698689909 | 805 |
Entity Name | Kentucky Medical Services Foundation, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1326091448 PECOS PAC ID: 5698689909 Enrollment ID: O20031119000300 |
Entity Name | Appalachian Regional Healthcare Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1528148012 PECOS PAC ID: 0840107835 Enrollment ID: O20031125000520 |
Entity Name | Commonwealth Health Corporation Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881109304 PECOS PAC ID: 5496667628 Enrollment ID: O20040916000800 |
Entity Name | Arh Tug Valley Health Services, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1639949696 PECOS PAC ID: 4183953805 Enrollment ID: O20190905002344 |
Mailing Address | Practice Location Address |
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Dr Charles Sylvester Dietrich Iii, MD 800 Rose St, Lexington, KY 40536-7001 Ph: (859) 323-3975 | Dr Charles Sylvester Dietrich Iii, MD 800 Rose St, Lexington, KY 40536 Ph: (859) 323-3975 |
Dr. Allison Leigh Swiecki-sikora, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 800 Rose St, Lexington, KY 40536 Phone: 859-323-6434 | |
Mrs. Jennifer A Fuson, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 1720 Nicholasville Rd, Ste 702, Lexington, KY 40503 Phone: 859-264-8811 Fax: 859-264-8822 | |
Tracey Owensby Carbajal, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1700 Nicholasville Rd, Suite 701, Lexington, KY 40503 Phone: 859-278-0396 Fax: 859-278-0396 | |
Larry S. Butler, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 3213 Summit Square Pl, Suite 200, Lexington, KY 40509 Phone: 859-381-1066 Fax: 859-263-0650 | |
Elizabeth Shawn Campbell, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 211 Fountain Ct Ste 230, Lexington, KY 40509 Phone: 859-629-7200 Fax: 859-629-7212 | |
Dr. Rudolph Michael Tovar, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 800 Rose Street Rm. C-358, Lexington, KY 40536 Phone: 859-257-2321 Fax: 859-257-9089 | |
Dr. James E O'neill, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 1780 Nicholasville Rd, Suite 202, Lexington, KY 40503 Phone: 859-276-4476 Fax: 859-276-4478 |